corky1272RN replied to corky1272RN's topic in Emergency
The patients shouldn't be coming to the ER for a Rx refill , but if they are taking tramadol at home for back pain then they aren't going to get dilaudid in the ER . If they injure themselves that is a different story . Seekers usually don't f...
The hospital system where I work is starting a program called the "Super user program". It is specifically targeting frequent flier pain seekers, but can also include patients coming in to the ER frequently for other issues. The patients ar...
corky1272RN replied to nursing_problem's topic in Emergency
Why was this relative being told anything to begin with? If they are within earshot when the VS are being communicated out loud then that is one thing, but to come and specifically ask... The patient stated he/she didn't want to know what the BP wa...
corky1272RN replied to Pinky89's topic in Med-Surg
Someone can backprime all you want, the spike still has the previous med on it. Are the backprimers looking up compatability or just assuming since they backprimed it is as good as new? At my facility, if I heard that someone was using the same lin...
corky1272RN replied to VegRN's topic in Medications
I had a pt that had PO and IV pain meds ordered PRN. The order comment included by the MD was "only give if pain not relieved by PO". So when the pt asked only for the IV, I informed him that the PO had to be given first then the pain would be reas...
corky1272RN replied to fsh1986's topic in Medications
To me it also depends on what the pt is in there for. I had a pt that was in the hospital for SOB, she was stable respiratory wise, but there were some other issues. She started refusing her IV solumedrol, definitely something to call the physician...
The nurse has to rely on her/his critical thinking and assessment skills. You cannot be forced to give narcs if you think it is inappropriate. Go to your charge nurse if the pt starts hollering that she isn't getting it. If the pt is asleep when i...
It should be ok to take the plastic pitcher out of the pt's room to refill unless the pt is on isolation. I don't understand what people are talking about cross-contamination since it's touch-free, the mouth part shouldn't be in contact with anythin...
corky1272RN replied to kirschbalb's topic in Med-Surg
In my hospital oral anti-hyperglycemics are not held just because they are in the hospital. The pharmacy takes in account diagnostic tests that require contrast and will profile or hold based on that. The physicians keep an eye on it, the radiology...
Some facilities do use filters for lipids but not all. I used to work at an LTAC that used a bigger filter for the lipids (the TPN had it's own filter seperately), but at the hospital that I work at now, the lipids are not filtered. Maybe it is th...